Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Choices Network Inc. (NPI 1396890166)

Field	Value
Entity Type	Organization
Organization	Choices Network Inc.
Address	108 S. Center
City	Assaria
State	KS
ZIP	67416
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$25.8M
Medicare	$0

Key Findings

CHOICES NETWORK INC. is effectively a Medicaid-focused operator: it reports $25.8M in lifetime Medicaid revenue and has no Medicare billing on file. This makes the provider a single-payer entity for the available data, with all documented government reimbursement coming through Medicaid programs rather than Medicare.

Revenue is highly concentrated in a narrow service mix: the top three Medicaid codes account for 100.0% of reported Medicaid revenue. The provider’s two dominant codes are T2016 (54.5% of Medicaid revenue) and T2021 (45.5% of Medicaid revenue), while T1017 contributes a de minimis 0.0% share.

The code mix indicates operations are centered on habilitation services for individuals with intellectual and developmental disabilities: T2016 is residential habilitation waiver per diem billing ($14.1M revenue, 8.6K claims, $1641 avg paid/claim) and T2021 is day habilitation waiver per 15 minutes ($11.7M revenue, 16.8K claims, $698 avg paid/claim). These volumes and payment levels are consistent with a facility offering both residential and day program services, implying labor- and facility-intensive delivery models.

Competitive standing within the state is modest-to-strong for the two main codes: T2016 ranks #51 of 121 providers (58th percentile) which is a mid-tier position described as typical, unremarkable volume, while T2021 ranks #34 of 130 providers (74th percentile) indicating a stronger footprint for day habilitation in-state but still within a typical range. Neither rank suggests statewide dominance, but T2021 reflects relatively higher market presence compared with peers.

Targeted case management via T1017 is negligible for this provider: only 29 claims and $2.8K revenue are reported, and it ranks #215 of 218 providers (1th percentile). Although present on the claim file, T1017 is not a meaningful revenue stream and does not materially diversify the provider’s service mix.

The provider’s claim volumes underline operational scale: 8.6K claims for T2016 and 16.8K claims for T2021 show sustained, recurring utilization of both residential and day habilitation services rather than one-off or episodic billing. The split between higher per-diem payments for residential care ($1641 avg paid/claim) and time-based payments for day habilitation ($698 avg paid/claim) further supports a mixed-service delivery model balancing overnight care and daytime programming.

CHOICES NETWORK INC. has an established presence with NPI enumeration on 2007-01-24 (~19 years ago), indicating long tenure in the Medicaid market and experience delivering waiver habilitation services over an extended period. This longevity, combined with concentrated Medicaid revenue, suggests the organization is a stable, specialized provider within its service niche.

From a payer-analytics perspective, risk and opportunity are concentrated: because T2016 and T2021 together drive the entirety of reported Medicaid revenue, any changes in waiver rates, utilization patterns, or state policy affecting these two service lines would materially impact the provider’s revenue profile. Analysts evaluating contracting, utilization management, or program changes should therefore focus on residential and day habilitation waiver policies and utilization metrics.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	8,580	$1,640	$14.1M
T2021	Day habilitation, waiver; per 15 minutes	16,810	$700	$11.7M
T1017	Targeted case management, each 15 minutes	30	$100	$2.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kansas Distribution

Choices Network Inc. — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	51	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	34	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	215	220	5,390	$40	$599.4K

Nearby Providers

Other providers in the same ZIP code as Choices Network Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Choices Network Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.1M
Choices Network, Inc	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$1.5M

Choices Network Inc. — Billing Profile & Reimbursement Data

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Choices Network Inc. — Billing Profile & Reimbursement Data

Sign up for Choices Network Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References